NEJM:伊布替尼用于老年慢性淋巴细胞白血病

2018-12-04 zhangfan MedSci原创

研究认为,伊布替尼疗法对老年慢性淋巴细胞白血病患者的疗效显著优于传统化疗

伊布替尼是治疗慢性淋巴细胞白血病(CLL)的有效手段,近日研究人员开展III期临床研究,考察伊布替尼联合或不联合利妥昔单抗对老年CLL患者的疗效。

65岁以上CLL患者参与研究,随机接受苯达莫司汀+利妥昔单抗、伊布替尼或伊布替尼+利妥昔单抗。研究的主要终点为无进展生存期。

183名患者接受苯达莫司汀+利妥昔单抗、182人接受伊布替尼、182人接受伊布替尼+利妥昔单抗。苯达莫司汀+利妥昔单抗组2年无进展生存率为74%,伊布替尼单药组为87%,联合用药组为88%。在38个月的随访期间,组间总生存率差异不显著,但免疫化疗组患者3-5级血液学不良事件率较高。

研究认为,伊布替尼疗法对老年慢性淋巴细胞白血病患者的疗效显著优于传统化疗。

原始出处:

Jennifer A. Woyach et al. Ibrutinib Regimens versus Chemoimmunotherapy in Older Patients with Untreated CLL.N Engl J Med, December 1, 2018.

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    2018-12-04 lietome24

    好文,值得点赞!认真学习了,把经验应用于实践,为患者解除病痛。

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